1e Temporary On-Sale Liquor License, Chanhassen Lions
CITY OF
CHANHASSEN
7700 Market Boulevard
PO Box 147
Chanhassen, MN 55317
Administration
Phone 9522271100
Fax 952.2271110
Building Inspections
Phone 952227 1180
Fax 9522271190
Engineering
Phone 9522271160
Fax 9522271170
Finance
Phone 9522271140
Fax 952.2271110
Park & Recreation
Phone 952227 1120
Fax 952.227 1110
Recreation Center
2310 Coulter Boulevard
Phone 952.227 1400
Fax 952.2271404
Planning &
Natural Resources
Phone 952.227 1130
Fax 952227 1110
Public Works
1591 Park Road
Phone 9522271300
Fax 952.2271310
Senior Center
Phone 952227 1125
Fax 9522271110
Web Site
www.ci.chanhassen.mn.us
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MEMORANDUM
TO:
Todd Gerhardt, City Manager
FROM:
Karen Engelhardt, Office Manager
6~.
DATE:
May 8, 2006
SUBJ:
Approval of Temporary On-Sale License, Chanhassen Lions Club,
Softball Tournament at Lake Ann Park, June 24 & 25, 2006
Staff has received an application for a temporary on-sale liquor license from the
Chanhassen Lions Club. The Lions would like to sell strong beer at a Softball
Tournament at Lake Ann Park on June 24 & 25, 2006 in conjunction with an
event they are callmg Safari Days. The Lion's Club has submitted liquor lIability
insurance covering thIS event.
RECOMMENDA TION
Staff recommends approval of the request from the Chanhassen Lions Club to sell
strong beer at Lake Ann Park on June 24 & 25, 2006.
g:\user\karen \Iiquor\lions.doc
The City 01 Chanhassen . A growing community with clean lakes, quality schools, a charming downtown, thriving businesses, winding trails, and beautiful parks. A great place to live, work, and play.
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Minnesota Department ofPubJic Safety
ALCOHOL AND GAMBLING ENFORCEMENT DIVISION
444 Ce.dar Street Suite 133, St. PaulMN :55101-5133
(651) 215-6209 Fax (651) 297:..52591TY (.651) 282-6555
WW\V.DPS.STATE.MN.US
APPLICA nON AND PERMIT
FOR A 1 TO 4 DAY TEMPORARY ON-SALE LIQUOR LICENSE
TYPE OR PRINT INFORMATION
NAME OF ORGA.."<<ZAnON
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STREET ADDRESS
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NA~. OF PERS. ON MA
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TAX EXEMPT NUMBER
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DATES LIQUOR WILL BE SOLD be / 2. f~ 2~
ORGANIZATION OFFICER'S NAME
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J ORGANIZATION OFFJ R'S NAME ADDRESS
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ORGANIZATION OFFICER'S NAME ADDRESS
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. Will the applicant nlract !2!:. intoxicating liquor service? If so, give the name and ,a~~s .oftheliquor licensee providing the service.
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Will.tbeapplic8ntcarry liquor liability insurance? If so, please provide the carrier's name and amount of coverage. . '. J'
V AS. A4 N'<J #'oJ ~ S ~. -rA -:;rf1 F',N.-r tt ,,"....tJJ)J:A.1i'V J!(..I' 7""J!E/Z..~ A 5' $" de..-", l(.,......... d
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APROVAL
i APPLICATION MUST BE APPROVED BY CITY o~;,g~ci(~:ORE SUBMITTING TO ALCOHOL & GAMBLING
CITYiCOUN'TY
DATE APPROVED
CITY FEE AMOUNT
LICENSE DATES
DATEFEEPAID
SIGNATURE CITY CLERK OR COUNTY OFFICIAL APPROVED DIRECTOR ALCOHOL AND GAMBLING ENFORCEMENT
NOTE: Sllbmittfris form to the city or county 3D days prior to event. Forward application signed' by city and/or county to the address
above. lfthe ~fiM is~veolltlae AbkeJ ad GambHnI'~ Diviliou MUn!ttmthD ~tp'b~lIIbd as 1hdJc_ferthe-ewat
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PS-09079 (02105)
MINNESOTA LIQUOR LIABILITY ASSIGNED RISK PLAN
MINNESOTA JOINT UNDERWRITING ASSOCIATION
PIONEER PO BOX 1760
SAINT PAUL, MN 55101-0760
(651) 222-0484 OR 1-800-552-0013
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APR 2 4 2006
crry OF CHANHASSEN
CERTIFICATE OF INSURANCE FOR LIQUOR LIABILITY COVERAGE
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS
UPON THE CERTIFICATE HOLDER. THE CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE
COVERAGE AFFORDED BY THE CONTRACT LISTED BELOW.
POLICY NUMBER: 06-0160
CONTRACT PERIOD: 12:01 A.M. 6/24/2006 TO
12:01 A.M. 6/26/2006
CONTRACT HOLDER & ADDRESS
CHANHASSEN LIONS CLUB
PO Box 484
CHANHASSEN, MN 55317
SCHEDULED PREMISES:
CHANHASSEN, MN 55317
LAKE ANN COMMUNITY PARK; 7500 LAKE ANN PARK,
THIS IS TO CERTIFY THAT THE CONTRACT OF COVERAGE DESCRIBED HEREIN HAS BEEN ISSUED
TO THE CONTRACT HOLDER NAMED ABOVE AND IS IN FORCE AT THIS TIME. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH
RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN TO THE COVERAGE
AFFORDED BY THE CONTRACT DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS
AND CONDITIONS OF SUCH CONTRACT.
TYPE OF COVERAGE
LIMITS OF LIABILITY
BODILY INJURY
$
EACH PERSON
EACH OCCURRENCE
EACH OCCURRENCE
EACH PERSON
EACH OCCURRENCE
ANNUALLY
PROPERTY DAMAGE $
LOSS OF MEANS OF SUPPORT $
50,000
100,000
10,000
50,000
100,000
$ 300,000
ANNUAL AGGREGATE
SHOULD THE ABOVE CONTRACT BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE
PLAN WILL MAIL 60 DAYS WRITTEN NOTICE TO THE BELOW NAMED CER TIFICA TE HOLDER,
HOWEVER, IN THE EVENT THE CANCELLATION IS FOR NON PAYMENT OF PREMIUM, THE PLAN
WILL MAIL A 10 DAY WRITTEN NOTICE.
CERTIFICATE HOLDER NAME & ADDRESS
CITY OF CHANHASSEN
7700 MARKET BOULEVARD
CHANHASSEN, MN 55317
DA TE OF ISSUE:
4/21/06
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AGENCY NAME & ADDRESS
AUTHORIZED REPRESENTATIVE